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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100040

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MarcellaCarey Sex Female

Date of Birth July 10, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Samuel John Carey MAIDEN NAME of Mother Pauline Ratchford

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born 85 Bryant Street, Sydney, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Steel worker Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marcella Clarke Address of Applicant 120 Oakville Drive, Sydney, Cape Breton Date February 1986

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MarcellaCarey

Born at Sydney in the County of Cape Breton

That MarcellaCarey Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 10, 1922

My knowledge of the fact and date of such Birth is based on the following Circumstances:

Baptismal certificate

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